| NPI | 1619214855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL A MOZEN President/Owner 248-258-0001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MI 5901001143) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MI 5901002233) |
| 213E00000X Podiatrist (Licence: MI 5901002271) | |
| 213E00000X Podiatrist (Licence: MI 5901002465) | |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2021-11-15 |